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Governance Register
US nonprofit · EIN 352122575 · Fort Wayne, INiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 352122575) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay, grants paid (Schedule I).Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Super Shot Inc's network

14 people3 organisationsi14 people and 3 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (14). Violet dotted lines (3) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

14 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 14 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Douglas Beebe ChairChairman2022
4 yrs
Anna Menze DO MPHDirector2024
2 yrs
Deborah Jones (also filed as Deb Jones)Director2019
7 yrs
Deborah R Garrison PHDDirector2024
2 yrs
Don Schenkel EmeritusDirector2024
2 yrs
Gail DoranDirector2019
7 yrs
Gregory PerigoVice-Chairman2019
7 yrs
Jane JorgensenDirector2023
3 yrs
Mary Hess BSN RN (also filed as Mary Hess RN BSN)Director2019
7 yrs
Meredith StoutDirector2022
4 yrs
Mona ReimersDirector2019
7 yrs
Sarah Giaquinta MDCompany secretary2022
4 yrs
Stacey OttenwellerTreasurer2024
2 yrs
Susan JohnsonDirector2019
7 yrs
Under 5 years5 to 6 years6 years or moreShow all 14 →

Officers and senior leadership

2 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Connie HeflinExecutive Dir.since 2019
Connie Heflin See Sch OExecutive Dir.since 2023

Pay and hours

year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Connie Heflin See Sch OExecutive Dir.40$95k$2k
Douglas BeebeChairman0.92$0
Gregory PerigoVice-Chairman0.66$0
Stacey OttenwellerTreasurer0.77$0
Sarah GiaQuinta MDSecretary0.19$0
Gail DoranDirector0.19$0
Mary Hess BSN RNDirector0.19$0
Deborah R Garrison PHDDirector0.19$0
Don Schenkel EmeritusDirector0.19$0
Susan JohnsonDirector0.19$0
Jane JorgensenDirector0.19$0
Deborah JonesDirector0.19$0
Meredith StoutDirector0.19$0
Mona ReimersDirector0.19$0
Anna Menze DO MPHDirector0.19$0

About

Legal name
Super Shot Inc
EIN
352122575
Address
1515 Hobson Rd, Fort Wayne, IN, 46805-4802
State
Indiana
Mission
To educate, promote vaccination and increase avenues for immunizations for all children and adults in Allen County and surrounding communities. (as filed on the Form 990)
Activity (NTEE)
E20 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
7 (IRS master file code)
Formed
1997
Principal officer
Douglas Beebe (as named on the Form 990)
IRS ruling date
1 February 2001
Status
Code 01 (unconditional exemption)
Form 990 filings on record
5, latest 2024
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥7years on the filingsDeborah Jones
≥7years on the filingsGail Doran
≥7years on the filingsGregory Perigo
≥7years on the filingsMary Hess BSN RN

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$5.8m
Total liabilities
$94k
Net assets or fund balances
$5.7m
Contributions and grants received
$3m
Program service revenue
$648k
Grants and similar paid out
$64k
Employees
31
Volunteers
47

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$3.8m$3.2m$528k

As filed on the IRS Form 990. US dollars.

Grants paid

1 listediFrom Schedule I of the Form 990: grants and assistance to organisations in the United States, largest first (up to 25). Schedule I is filed only by organisations that gave more than $5,000 to any one recipient.
RecipientPurposeAmount
Fort Wayne Community SchoolsVaccine Administration$42k